Individual
DR. JONATHAN K JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 PIPER BLVD STE 101, NAPLES, FL 34110-1449
(239) 465-4157
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
(352) 391-6498
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME82792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1193173
WELLCARE
FL
05
—
263674300
—
FL
01
—
29011
BCBS OF FL
FL
01
—
5137684
AETNA
FL
01
—
8813768
CIGNA
FL
01
—
P01193240
RR MEDICARE
FL
01
—
P01804524
CLEAH HEALTH ALLIANCE
FL
01
—
P303910
FREEDOM HEALTH
FL
Enumeration date
05/11/2006
Last updated
06/24/2021
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